Occurs 20-30 minutes after meal
Cardiovascular and GI symptoms
High osmolar content of food entering the small bowel
Extracellular fluid shifts in bowel cause autonomic, hormonal, and systemic changes
Conservative Tx: Avoid high Carb and fluids during meals
Octreotide
Most cases resolve
Surgical tx: Interposition of an anti-peristaltic loop of jejunum between stomach and small bowel